Manager, Encounter Data Management
Humana · US
Become a part of our caring community The Manager, Encounter Data Management develops business processes to ensure successful submission and reconciliation o...
Job description
Become a part of our caring community The Manager, Encounter Data Management develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration and conducts briefings and area meetings; maintains frequent contact with other managers across the department. The Manager, Encounter Data Management leads a team of associates who develop efficient business processes for Error Corrections associates and ensures successful submission and reconciliation of encounter submissions across multiple Medicare/Medicaid trading partners. Ensures Medicare/Medicaid encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate for Medicare/Medicai...